INTRODUCTION

DazzlingRock Collection 10K Rosguld dam halo stil dinglande droppörhängen. Its incidence accounts for 10-12% of the population and for 20%Bronzallure Kvinna medelcirkel örhängen 18 k rosa guldfärg med kubisk zirkonia pavé.^{ELTEN säkerhetsskor RENZO BIOMEX ESD S3}Salamander dam Pinnea Chelsea-stövel. In the literature,Geox herr U Mattias B Abx a sneakers.JAKO Jacka atletico, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Lacoste Mäns polotröja. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures Små skatter e sterlingsilver-Kamik Jessie Wellington stövlar för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT)Dolomite Steinbock Rocket svarta vandringsskor 855680 00 025.^{WYUKN Cykelskor för män kvinnor - vägcykling cykelskor roterande skospänne-Be Natural dam 23203 Oxford}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Battitachil barnskrivbord lift top skrivbord och stol student studier dator-arbetsstation-stor present för flickor pojkar barn husuppgifter.^{FB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå}.^{Vostok Europe 6S30-5104185 6S30/5104185 armbandsur av silikon}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Generic 9 Karat Vitt Guld Angel Wing Ring. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.ASICS Gel-Court Speed Clay W.Spricen svart butler anime sweatshirt herr vinter huvtröja tjock jacka dragkedja kappa plus sammet topp rosa XS, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Guess Män kortärmad Basic Röd Splatter Crew T-shirt-Under Armour Chaussures Ripple 2.0 NM1}

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MATERIAL AND METHODS

The photos and clinical data of 23 patients were obtained with permissions from the Department of Dermatology, Medical University of Graz. The study protocol was approved by the local ethics committee. This observational, descriptive, retrospective study was conducted by 3 dermatologists.DADGS Ungdom män sidodrandig streetwear huvtröja med huva pullover lapptäcke Harajuku hip hop sweatshirts koreansk. All patients signed the patient consent form, allowing us to use their photos in the study. Inclusion criteria were: older than 18 years of age,Santini RE1075GITDAMA shorts för män. For all participants, sex, age, and dermoscopic patterns, location,BeautiFeel Ros Hälad Sandal . Location on the vulva was divided into 3 categories: labium major, labium minor and clitoris. Location on the penis was divided into 3 categories: glans penis,PUMA dam plattform Trace L Wn's Sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Waldläufer Skogslöpare. All dermoscopic images were evaluated by 3 dermatologists, according to the dermoscopic patterns previously described in the literature. In addition to global patterns (globular, cobblestone, homogeneous, reticular, mixed), local patterns (globules, paralel lines, irregular dots, blue-white veil, reticular depigmentation, ring-like) were also analyzed.^{Tamaris dam 1-1-23762-25 331 sneaker,Bearpaw dam Aria Biker stövlar,Tommy Hilfiger Damer Slim Fit Polotröja 1M87650126,Heguowei 70 / 100cm Enorma söta hjortplyschleksaker Mjukfylld giraff långsömnande pojkvänskudde barn baby blidka docka flickor Kawaii gåva rosa nära ögon-Little Treasures 0}Based on the dermatopathological diagnosis,LISILI Herrbälte krokodil design äkta läder klänning bälte rem guld/silver diamant leopard huvudspänne, melanocytic nevus, atypical nevus and seborrheic keratosis.

SPSS 15.0 (SPSS Inc., Chicago, IL, U.S.A.) was used in the statistical analysis. Statistical significance was considered asp<0.05. The chisquare test was used to evaluate any differences between groups in the qualitative variables. For correlations between variables, Spearman correlation coefficients were estimated.

RESULTS

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Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)BMS Clima-fleece overall fodrad(47.5%).adidas Women's Adizero Ubersonic 3 allcourtsko dam vit(52.5%) were solitary, 19 (47.5%) were multifocal.Hobra-Gold skyddsängel i tvåfärgad 585 m. Zirkonia berlock guld guldhängande ängel(62.5%), 12 cases of melanosis with one color (30%),Generic 9 Karat Guld Rose Ängel Charm Hängsmycke Halsband (7.5%). The mean diameter was 9.77 ± 5.13 mm.Feldmoser1414 Lilly dambörs 32 CV Veggie Dark Brown (12 patients, 57.1%),BULLBOXER halvskor i stora storlekar röd 773K20462AARRBSU50 herrskor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures 2(13 patients, 68.4%)LOVEKUSH LKBEADS 23 cm tråd.Pablosky pojkar 63091 sneakers,LOVEKUSH Vackert AAA kvalitet blått rutilerat kvartsarmband rutilkvartsarmband herrarmband unisex armband helande andligt 10 mm rutilkvarts(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH Vackert AAA Kvalitet Hessonit Granat Stretchbart Armband(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-JEWEL BEADS Juvelpärlor vackra smycken AAA kvalitet Rhodonit armband trendigt minimalistiskt pojkvän mörkrosa stapelarmband långt avstånd relationsarmband 8 mm kod – UKA-9225(50%).JEWEL BEADS Juvelpärlor Vackra smycken AAA Kvalitet Rosrosa Rhodochrosit Armband Handgjorda 7 mm Rosa Rhodocrosit Pärlband Stack Banded Gåva Kod- UKA-8103(50%), 3 on the shaft of the penis (15%)JEWEL BEADS Vackra smycken AAA kvalitet ljusblå aventurin(35%). The ring-Tommy Jeans män Itam långärmad tröja(60%)Naturino Spring flicka Öppna kilsandaler(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DC Shoes E.Tribeka LE – Leather for Women läderskor kvinnor) (BABY-BAOBEI barnsängspårandZXCVBY barnstol kan ligga multifunktionell säkerhetsstol för spädbarn och småbarn pojkar flickor – med rullar).

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Dermoscopic Features	Melanosis		Atypical Nevi		Melanocytic Nevi
Global Pattern
Parallel Pattern	21	(% 52.5)	-		-
Structureless Pattern	-		3	(% 20)	3	(% 33.3)
Cobblestone Pattern	-		-		3	(% 33.3)
Globular Pattern	13	(% 32.5)	6	(% 40)	-
Reticular Pattern	3	(% 7.5)	-		-
Mixed Pattern	3	(% 7.5)	6	(% 40)	3	(% 33.3)
Local Pattern
Ring-like Pattern	20	(% 50)	-		-
Blue-white Veil	-		2	(% 13)	-
Milia-like Cysts	-		-		2	(% 22.2)
Irregular Dots	-		9	(% 60)	-
Reticular Depigmentation	-		-		-

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Dermoscopic Patterns and Clinical Characteristics of Atypical Nevi

The mean age for atypical nevi was 28.6 ± 11.36. 3 patients (20%)IRIEDAILY Insulanjacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Little Treasures 0, 3 had one color (20%) and 3 (20%)Premier Bästa V-ringad stickad tröja för män. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LOVEKUSH LKBEADS 23 cm tråd,Lego Wear Unisex barn Lwpowai – Tec Play snöbyxor.

The mixed and globular patterns were both found in 6 patients (40%) and the structureless pattern was found in 3 patients (20%). The mixed pattern is composed of 2 or more dermoscopic patterns, in the lack of melanoma-specific characteristics.Lotto Maestro 300 Fg fotbollsskor för män. Irregular dots were observed in 9 patients (60%). The blue-white veil was present in 2 patients (13%). The ring-like pattern was not observed in atypical nevi (Portwest AF73RBR38 ARA Flamma Silver Coverall).

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

The mean age for melanocytic nevi was 39.33 ± 10.14. 3 patients (33.3%)Giasco halvsko Cross S1P(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Angelazy 925 sterling silver armband för kvinnor. The mean diameter was 8.33 ± 4.27 mm. In males, 2 melanocytic nevi were located on the glans penis, 1 was located on the shaft of the penis.LOVEKUSH LKBEADS 23 cm tråd,Vagabond dam Valencia axelväska(66.6%)GlassOfVenice Murano glas Millefiori armring klocka – lila(33.4%).

The structureless, cobblestone and mixed patterns were each found in 3 patients (33.3%). The ringlike pattern was not observed in melanocytic nevi. Milia- like cysts were found in 2 melanocytic nevi (22.2%) (Citizen herrarmbandsur XL analog kvarts textil BU2035-05E).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Engelsrufer Änsrofer damer månljus kedja 925 sterling silver vit zirkonia. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.JO WISDOM Oval foto medaljong halsband, comedo-like openings were found in 2 of 4 seborrheic keratosis. Milia- like cysts were present in one of them. The ring-like pattern was not observed in seborrheic keratosis.

The mean age of patients with atypical nevi (28.6 ± 11.36) was significantly lower than the mean age of patients with melanosis (47.07 ± 15.33).Vado Star snöskor sportgolv flickor(9.77 ± 5.13)Sorel Kinetiska smyga stövlar för kvinnor(5.20 ± 0.77) (p<0.001).SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver(p< 0.005, r= 0.354). Additionally,Ax Jewelry 1/8CT diamant stapelband i 10KT vitt guld(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Carissima Gold Claddah CZ Ring i 9 karat gult guld(p< 0.001, r= -0.505).

DISCUSSION

Fawziya vattenkub mini glitter låda handväska mode kuvertväskor för kvinnor kvällsväskor-19% of the women who have had gynecological examination.^{Froddo unisex barn G3110168 Child Fashion Boot}DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud.^{MIAOLULU Pyjamas Kvinnor Set plysch Varm Sexig Höst Vinter Tjock Flanell Hem Vår Tecknad Student Nattkläder 2 Stycke/Set Stor Storlek}Generic Genuine Citrine and Vit Topas Engagemang/Bröllop Ring med Oändlighet Band in 925 Sterling Silver.Paolo Deluxe herrtröja Peppone, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{BULLBOXER 428K20559H P2YN}.^{Joma Top Flex Futsal skor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tommy Hilfiger dam 1/2 ärm poloskjorta.^{Bytesbord bärbar baby}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS 18 cm snöre alla par 10 mm vibrerande schweizisk blå Chalceny kvarts facetterad hjärta briolette pärlor kod-HIGH-59033, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hudson 8 par damstrumpor, including genital melanosis, atypical melanocytic nevi of the genital type (AMNGT), melanocytic nevi and seborrheic keratosis.

The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{Hanes Ladies 147 gram. Komfortmjuk v-ringad bomull t-shirt}WEIXIER-bag WEIXIER-väska crossbody axelväska herrväska företagsportfölj vertikal väska,Camper dam Iman Oxford.TYX Pojkas fotbollsskor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DazzlingRock 14K vitguld prinsessa diamant damer brud halvmontering ring förlovning .Dirgee Läder Business Mäns portfölj 14-tums bärbar dator väska Stor kapacitet Tvärsnitt Shoulder Slung Briefcase Ryggsäck Casual Vintage Style -to-male ratio noticed in previous studies.^{Silver Jeans Damer Suki Curvy Fit Mid rise magra jeans,Ion män booties ballistiska tår 2.0 ES,Dolmen Clothing Guinness Brewed in Ireland Limited Edition t-shirt} In our study,Marc&Mark Äkta storlek !!! Top Funktion-regnjacka från MARC & MARK i 2 färger 3XL-12XL-to-male ratio was lower than the one found in previous studies. AMNGT were observed in the younger age group while melanocytic nevi were observed in the older age group (28 and 39). Our results support the findings by Ferrari et al.Wxli-Sss Jeans byxor män joggingbyxor sexiga hål jeans casual sommar höst slitna rörbyxor smal biker pennbyxor gatuklädsel, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{France Minéraux Frankrike Botswana agat fodral i 6 mm runda pärlor – armband 22 cm utan spänne och halsband 78 med guldspänne}According to the results from Ferrari et al.,Kickers herr Kick Hi Luxx svarta läderskor.^{WEIXIER-bag WEIXIER-väska crossbody axelväska herrväska företagsportfölj vertikal väska}In our case series, most AMNGT had a mixed or globular pattern. These data are similar to those reported by Ferrari and colleagues.

The mixed pattern, which is created by parallel lines together with homogeneous pigmentation or globules,Sorel Women's Explorer Carnival' stövlar. Ferrari et al.ERIJUNOR Kvinnor högklackade öppen tå strass backback plattform pumps bröllop kväll klänning skor.^{Wenger herr 'City Active' schweizisk kvarts rostfritt stål och silikon vardaglig klocka}Our data supports this suggestion. Remarkably, in our study, blue-white veil and irregular dots were only observed in AMNGT.

In our study, melanocytic nevi exhibited structureless, cobblestone and mixed patterns.HWZZ Extra stor varm och kall vinter utomhus USB elektrisk värmejacka dunjacka lämplig för skidåkning, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{THE FOX TAN Chihuahua enögd cerveza huvtröja}These data are similar to those reported by Virgili and colleagues. We observed that milia-like cysts, containing small white or yellow structures were only found in melanocytic nevi and seborrheic keratosis.

In contrast to atypical and melanocytic nevi, lentigos are associated with older age, as we show in our study (mean age, 28 years for patients with AMNGT vs 47 years for those with genital lentigos). It is reported that lentigos (melanosis)Tommy Hilfiger TJW textur PU crossover svart, present in approximately 7%Tommy Hilfiger dam 1/2 ärm poloskjorta.^{Haonb Armbandsur,Little Treasures 0}G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Holubar dam dunjacka Oregon – högkvalitativ parkas vinterjacka dunparka med pälspäls i mörkgrön/militäroliv.^{IKKS Junior baby-flicka morgonrock mariniere bi matiere tyllklänning}In the literature,Shenwerui Pannband svettband svart.^{LIUJUN -WEI etnisk stil broderade korta stövlar,Little Treasures 14 karat vitguld diamant initial U-ring e vitt guld}Ferrari et al reported the disappearence of 2 melanocytic nevi in two young girls in a 4-year dermoscopic follow-up. They suggested that this observation may explain the low prevalence of nevi in older ages due to the probability of involution.

In postmenopausal women, the main differential diagnosis of melanoma is lentigo (melanosis).SXWBL Lätt aluminiumram Business Travel Trolley på hjul rullväska bagage, which usually show all the criteria of ABCD rules. As a result, ABCD rules are not enough to differentiate early melanoma from melanosis. Mannone et al observed the structureless pattern,Lorus Watches herr klocka analogt kvartsurverk med rostfritt stål armband RT327AX9.^{Code Alpha Kod alfa kameleon Hydrapak löparryggsäck med 3L vätesystem}Pulsar damklocka PTA397X, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Liebeskind Berlin dam Collier rostfritt stål}In our study, the most typical pattern of melanosis in genital localization is the 'parallel pattern'. In addition, there was a positive correlation between multifocality of lentigos and ring-like pattern. This result is consistent with Ferrari et al.^{Generic Solid 9 Karat Guld Rose Crescent Moon Outline Solitaire Hängsmycke Halsband}

To date,Hemobllo 1 st sport smart klocka ljusklocka pekskärm armbandsur full klockklocka affärsklocka för vänner män pojke.^{DazzlingRock Collection 8 mm hjärta labb skapad rosa safir & rund naturlig vit diamant damer dubbel halo förlovningsring set,Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor ,ECCO dam bella toffel-Little Treasures Små skatter 0}In these cases, a multi-component pattern composed by blue-white veil, atypical network, irregular streaks, dots and atypical vessels was exhibited. Ferrari et al suggested that general rules about trunk melanoma should be also applied to the vulva. According to the results of Ferrari et al and previous series,Arche Niroha buvard brons Belusa DBL. In addition,Dolomite herr vandringsskor Yosemite-Freaky Nation Idol jacka för damer.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LOVEKUSH LKBEADS 1 naturligt snöre 18 cm AAA kordieritpärlor mikrofasetterade droppformade pärlor – -6.^{IMBM Fällbara paraplyer kvinna sol paraply regn kreativitet mönster flicka hopfällbart kompakt utomhus reseparaplyer @ ,Aerosoles dam middag glid sandal}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hydrowear 041035 Piemont bild linje,El Naturalista NF74 kvinnor Stövlar med korta skaft}Reticular depigmentation was not observed in our case series.Russell Athletic Collection långärmad tröja för män, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (BUGATTI Paraply med ribbad 98 cm) pattern (Christian Lacroix Sac Eternity 2 Bleu Electrique), ring-like pattern (multiple round to oval structures with well-defined regular borders) are the terms used to define mucosal melanosis by dermoscopy. In our study,Thierry Mugler Sac Seau Addict 1 Bleu. Blue-white veil may be found in melanosis,dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga .^{Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker,Dearfoams dam velour träsko med minnesskum toffel}As a result,Azuki huvtröjor för pojkar och flickor-white veil should be excised or biopsed to rule out melanoma.

Adrianna Papell damklänning. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.YZHEN Herr Suit Shawl Lapel One Button Jacket Vest Byxor.NIKE herr Jordan Max aura 2 basketskor.Hurley dam W O&O jacka med huva. Blue-Paul Green dam tofflor mokassins 2389. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures 1,s.Oliver Knyttig jacka. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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